Childcare Application Form
Thank you for inquiring about making a reservation for childcare or a visit to MIRAI LABO∞KIDS.

Please note that we can only accept reservations for childcare by e-mail "up to 2 days in advance".
If you wish to make a reservation for the next day, please call us directly by 6:00 p.m. the day before.

The reservation process is as follows.

Please fill out the following form.

(The following is the process for those who wish to make a reservation for childcare.)
2. If you wish to make a childcare reservation, we will contact you by e-mail to confirm availability.
3. Please complete the bank transfer procedure.
4. Reservation will be completed upon receipt of confirmation of payment by e-mail.

Reservations are tentative at the time the reservation form is filled out.
Please note that the reservation will be completed after the transfer is confirmed.

If you do not receive a reply within the next business hours, please contact us by phone.
（Please call us at (070-5073- 3760: for reservations only). 
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Parent's Name (Last Name)
 *
Your child's name (first and last)
 *
Email Address
 *
Your child's date of birth (YY/MM/DD)
 *
MM
/
DD
/
YYYY
sex
 *
What is your area of residence?
Your occupation
How did you know?
Inquiry details *
Desired Start Time
(Please fill in 00/30 minutes. (If you would like a tour, it will take 30-60 minutes)
 *
Time
:
End time of your stay
(Please enter in 00/30 minutes. Temporary users must have a minimum of 2 hours)
 *
Time
:

Do you have any past experience with day care centers or other childcare services?

 *

If this is your first time taking care of a child, we may request to pick up the child earlier than the scheduled appointment time if the child is not able to take in any water at all during the day of taking care of the child.

 *
What are your allergies? (If you have allergies, please specify the item(s) you are allergic to in the "Other" column. *
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